摘要
目的:探讨开放复位内固定治疗胫骨平台骨折的临床疗效。方法:回顾性分析2008-12~2013-12行开放复位内固定治疗的68例胫骨平台骨折患者的临床资料,其中Schatzker分型Ⅰ型5例,Ⅱ型16例,Ⅲ型10例,Ⅳ型15例,Ⅴ型11例,Ⅵ型11例;开放性骨折6例。分析开放复位内固定治疗各型胫骨平台骨折的临床疗效。结果:所有患者均获得全程随访,时间10~36个月,平均14.5个月;均骨性愈合,无深部感染,无钢板或骨骼外露。2例切口局部皮肤坏死感染,1例延迟愈合,1例膝关节内翻畸形(<5°)。按照Rasmussen评价标准:优45例,良16例,中6例,差1例,优良率89.7%。结论:对胫骨平台骨折根据骨折类型采用适合的内固定术,有利于恢复关节面的平整及早期功能锻炼,并可减少并发症的发生。
Objective： To explore the clinical effect of open reduction and internal fixation for tibial platform fracture. Methods： The clinical data of 68 patients with tibial platform fracture from December 2008 to December 2013 were retrospectively analyzed according to Schatzker classificationsystem：5 cases of type Ⅰ,16 cases of type Ⅱ,10 cases of type Ⅲ1,15 cases of type Ⅳ,11 cases of type Ⅴ,11 cases of type Ⅵ. Six cases of opened. The clinical effect of open the level of the joint surface,which is beneficial to the functional exercise early and reduce the occurrence of complications.
作者
孙克理
李成辉
路昊
袁志
SUN Keli;LI Chenghui;LU Hao;YUAN Zhie(The 71336 Military Hospital of PLA,Zhangjiakou 075000,China;Department of Traumatic Orthopedics,Xijing Hospital of the Fourth Military Medical University)
出处
《西北国防医学杂志》
CAS
2018年第9期583-587,共5页
Medical Journal of National Defending Forces in Northwest China
关键词
内固定
胫骨平台
骨折
internal fixation
tibial platform
fracture
